Tammy Jo Boxleitner, APN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4577-33 Issued in WI

Practice address

1969 West Hart Road
Beloit Memorial Hospital, Inc.
Beloit, WI 53511-2298

Phone

(608) 364-5011

NPI assigned

Oct 31, 2006

Last updated

Oct 20, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Ms. Tammy Jo Henning Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rockford Cardiology Associates, LTD

  • Cardiovascular Disease Physician
  • Rockford, IL
  • NPI 1699775775
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319068800000",
    "number": "1104903061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 E. HUEBBE PARKWAY",
            "address_2": "BELOIT HEALTH SYSTEM, INC",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535111842",
            "telephone_number": "608-364-2200",
            "fax_number": "608-363-7395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1969 WEST HART ROAD",
            "address_2": "BELOIT MEMORIAL HOSPITAL, INC.",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535112298",
            "telephone_number": "608-364-5011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOXLEITNER",
        "first_name": "TAMMY",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2011-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209-003115",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "4577-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMMY",
            "last_name": "HENNING",
            "middle_name": "JO",
            "prefix": "MS.",
            "credential": "NP, APN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Peter Zenithen Bouc
• Erika Leigh Bourdeaux, DNP, RN, CPNP-PC
• Susan G Bower, MSN, RN, APNP
• Kate E Bowgren, SAC-IT
• Erin L Bown, MSN, RN
• Savannah Marie Boyd
• Robert J Braco, MD
• Heather B. Breen, M.D.
• Lucinda R Briesemeister, LCSW
• Christin J Brillhart, OTR

• Nurse Practitioner in Beloit, WI
• Providers in Beloit, WI by specialty
• Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.